November 29, 2023



Dear RHRP Provider,

In an effort to expedite appropriate actions for suicidal and homicidal ideations reporting, QTC has updated the phone number for examiners to call.

Effective December 1, 2023, providers will need to call 833-782-7477 option 7 for all HIGH RISK SI/HI reporting to QTC. This change ensures prompt notification to the appropriate military unit point of contact.


This number is ONLY to be used for emergencies such as high risk SI/HI; all other RHRP inquiries should continue to be routed to 844-782-7783 option 2.

CLICK HERE FOR SI/HI Guidelines

Suicidal and Homicidal Ideation

If a Service Member expresses suicidal or homicidal ideation, immediately determine risk level by asking about detailed plans and means; then, take appropriate steps such as safety contracting, contacting caregivers to provide additional support, or calling emergency services for high-risk cases. Following proper protocols for assessing, reporting and responding to dangerous ideation allows us to get SM at risk the help they urgently need.

Emergent Incident/ Referral

An Emergent Incident (emergency) is defined as a significant occurrence or extraordinary event which requires immediate care or assessment because of an acute or unstable health condition, eg.,

  • VERY HIGH blood pressure
  • High risk behavioral health issues
  • Suicidal/Homicidal risk
  • SM has been turned over to their command, the VA or emergency services.


Providers must complete the Unusual Incident Report (UIR) form for all emergent incidents. This form is located within the CONTACT page of Provider Portal.



Providers can also access the UIR from within the MEP form by clicking on this new button on the DD3024 MHA/PHA and DD2900:

Unusual Incident Report (UIR)

Unusual Incident (UI)- defined as something that occurred during provision of service that may have or will result in

  • risks to health and safety
  • result in legal claims
  • involvement of senior Government officials

Examples Include

  1. Service member fainting during blood draw
  2. All falls, accidents, or injuries even if no significant injury occurred
  3. Medical errors made by the healthcare provider


Example scenario that warrants an Unusual Incident Report


Primary Form (DD3024, DD2900): Provider recommended a referral for Mental Health Specialty Care within 24 Hours. Provider identified areas of concern to be Physical Health, Mental Health Symptoms, PTSD Symptoms, Depression Symptoms and Risk of Self-Harm. Provider indicated in the Comments section that the SM was an intermediate risk for self-harm.

Referral Forms: Provider indicated need for psychiatric assistance as the SM was at risk for self-harm.

Conclusion: The level of Suicide Risk is high. An Unusual Incident report is needed. This Unusual Incident Report is classified as an “Emergent Incident/Referral.”


If you have any questions or feedback regarding this memo, please reach out to the Provider Support Hotline at (844) 782-7783 or contact us at QTCProviderSupport@qtcm.com. As always, thank you for your continued service to our Nation’s Heroes!


Regards,


RHRP Provider Training Team

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